| NPI | 1700213055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA OS018675) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: PA OS018675) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: PA os018675) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2024-03-27 |